Direct carotid-cavernous fistula presenting with minimal symptoms and rapid angiographic progression.

Journal Article (Journal Article)

Most patients with direct carotid-cavernous fistulas (CCFs) present with dramatic symptoms including proptosis, chemosis, and diplopia. We report a patient with a direct/high-flow CCF whose only initial symptom was pulse-synchronous tinnitus. Following diagnostic angiography, she developed mild symptoms and dramatic angiographic changes over a period of 3 days. Complete occlusion of the CCF and resolution of her symptoms were achieved by performing a stent-assisted coil embolization.

Full Text

Duke Authors

Cited Authors

  • Albert, GW; Dahdaleh, NS; Hasan, DM

Published Date

  • September 2010

Published In

Volume / Issue

  • 17 / 9

Start / End Page

  • 1187 - 1189

PubMed ID

  • 20605465

Electronic International Standard Serial Number (EISSN)

  • 1532-2653

Digital Object Identifier (DOI)

  • 10.1016/j.jocn.2009.12.018


  • eng

Conference Location

  • Scotland